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FOR OFFICE USE ONLY PERMIT# Z 'C)o,3 <br /> BUILDING PLANNING <br /> Bldg/TI/Add rap Size 24&4 ..c,r Zoning Classification R--2- <br /> Garage Size ._43 Overlay/Agreement <br /> VALUATION /14-1 2._O0 Nonresidential Use " <br /> (Z._ONumber of Stories 2.- Residential Use (iQ takeli 6 (2-- <br /> Occupancy <br /> ccupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement No Yes i4, in Unfin Landscape or Planning Inspection <br /> Type of Construction 13 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: S( , Ei Date: 12,-15-17 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Units: / <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: (4/4. /216//— School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: y <br /> Comments: ZO7G" l� WSiC Comments: <br /> 63(151 ‘q- <br /> Intake OK by: LS 'e" -"r(9( Intake OK by: )L i, Okto route _LW- Hold _ <br /> Make this a"W" Permit? Yes No- 1 <br /> �7 PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: g <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee El See PW Review Worksheet <br /> Systems Dev. Fee "PW Permit Not Required <br /> Traffic Mitigation Fee / <br /> Public Works Fee FIRE:DEPARTMENT. , <br /> School Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg._ <br /> Update/New Detection Yes_ No Existing Bldg. <br /> Update/New Chemical Yes No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: AN <br />